A Feasibility Study of Using Headspace for Mindfulness Among Individuals Undergoing Surgical Repair of the Rotator Cuff

Mindfulness-based interventions (MBIs) have been found to help reduce psychological distress and pain in chronic musculoskeletal conditions. However, very limited evidence exists determining the impact of mindfulness on psychological distress and pain in acute musculoskeletal conditions including rotator cuff tears. Among individuals undergoing surgical repair of a rotator cuff tear, it is not clear how mindfulness may be combined with usual care, given the requirement of intense training as part of frequently used MBI protocols. The purpose of the present study was to determine if it was feasible to combine Headspace, a mobile application for mindfulness training that can be used anytime and anywhere, with the usual treatment for a single-tendon rotator cuff repair. One individual was recruited to use Headspace for three weeks, from two weeks before to one week after their rotator cuff surgery. Feasibility of using Headspace was measured in terms of satisfaction in using Headspace and changes in mindfulness across three time points (2 weeks before surgery, 1 week before surgery, and 1 week after surgery). Regarding satisfaction with using Headspace, four main themes emerged including the improved ability to focus and concentrate, manage pain, cope with life stressors and the ability to use the application anytime and anywhere. Regarding mindfulness, scores increased on one facet and decreased in the four other facets of FFMQ-SF. In addition, the participant reported becoming more mindful but still needed more practice with mindfulness. Based on our findings, we concluded that Headspace is an appropriate intervention to include in the treatment of rotator cuff repairs and can lead to the improved ability to concentrate, focus, manage pain, and cope with life stressors. However, given the short duration of the study, it is not clear how Headspace impacted mindfulness. Future studies should be conducted over a longer duration of time to examine the impact of Headspace on a person’s mindfulness from pre-surgery to the end of rehabilitation

Enterprise and entrepreneurship in English higher education: 2010 and beyond

Objectives This article reports the results of a complete survey of enterprise education in all Higher Education Institutions (HEIs) in England, undertaken in 2010 by the Institute for Small Business & Entrepreneurship (ISBE) on behalf of the National Council for Graduate Entrepreneurship (NCGE). The survey builds on prior work undertaken by the NCGE in England in 2006 and in 2007 (NCGE, 2007; Hannon, 2007). Approach The survey aimed to establish a complete picture of curricular and extra-curricular Enterprise & Enterpreneurship education. The survey uses a similar structure to the previous survey, enabling comparison to be made with enterprise provision over the 2006-2010 period, as well as with the 2008 European survey of entrepreneurship in HE (NIRAS, 2009). Results The results provide a stocktake of enterprise education provision in participating HEIs and highlight the connections in institutional strategies between enterprise education, incubation/new venture support, graduate employability, innovation and academic enterprise. It reveals ‘hotspots’ and gaps in enterprise provision and offers ‘benchmarks’ for the sector. Implications The article offers a summary of the implications for the future development and sustainability of enterprise education in HE, in relation to policy, funding and other changes in the sector. It also considers these issues in relation to recommendations from professional educators and Government policy for future development of enterprise in HE and comments on the policy impact of this work. Value The timing of the survey, in May-July 2010, was important as it reflected the end of a period of over ten years of sustained investment in enterprise in Higher Education by the previous Labour Government in the UK, through a range of funding initiatives. As major public expenditure reductions in support for HE and enterprise activity followed, this represented the ‘high water mark’ of publicly funded enterprise activity in the HE sector, and raised the question of how enterprise education and support activities would become sustainable for the future. The report analyses existing provision, assesses its development over the 2006-2010 period, and provides conclusions and recommendations covering future policy, development, resourcing, and sustainability of enterprise and entrepreneurship provision in Higher Education

Halogenation effects in Intramolecular Furan Diels-Alder reactions:broad scope synthetic and computational studies

For the first time a comprehensive synthetic and computational study of the effect of halogen substitution on both furan and dienophile for the intramolecular Furan Diels-Alder (IMDAF) reaction has been undertaken. Contrary to our initial expectations, halogen substitution on the dienophile was found to have a significant effect, making the reactions slower and less thermodynamically favourable. However, careful choice of the site of furan halogenation could be used to overcome dienophile halogen substitution, leading to highly functionalised cycloadducts. These reactions are thought to be controlled by the interplay of three factors: positive charge stabilisation in the transition state and product, steric effects and a dipolar interaction term identified by high level calculations. Frontier orbital effects do not appear to make a major contribution in determining the viability of these reactions, which is consistent with our analysis of calculated transition state structural data

Consequences of a Diagnostic Label: A Systematic Scoping Review and Thematic Framework

Objectives: To develop a thematic framework for the range of consequences arising from a diagnostic label from an individual, family/caregiver, healthcare professional, and community perspective. Design: Systematic scoping review of qualitative studies. Search Strategy: We searched PubMed, Embase, PsycINFO, Cochrane, and CINAHL for primary studies and syntheses of primary studies that explore the consequences of labelling non-cancer diagnoses. Reference lists of included studies were screened, and forward citation searches undertaken. Study Selection: We included peer reviewed publications describing the perceived consequences for individuals labelled with a non-cancer diagnostic label from four perspectives: that of the individual, their family/caregiver, healthcare professional and/or community members. We excluded studies using hypothetical scenarios. Data Extraction and Synthesis: Data extraction used a three-staged process: one third was used to develop a preliminary framework, the next third for framework validation, and the final third coded if thematic saturation was not achieved. Author themes and supporting quotes were extracted, and analysed from the perspective of individual, family/caregiver, healthcare professional, or community member. Results: After deduplication, searches identified 7,379 unique articles. Following screening, 146 articles, consisting of 128 primary studies and 18 reviews, were included. The developed framework consisted of five overarching themes relevant to the four perspectives: psychosocial impact (e.g., positive/negative psychological impact, social- and self-identity, stigma), support (e.g., increased, decreased, relationship changes, professional interactions), future planning (e.g., action and uncertainty), behaviour (e.g., beneficial or detrimental modifications), and treatment expectations (e.g., positive/negative experiences). Perspectives of individuals were most frequently reported. Conclusions: This review developed and validated a framework of five domains of consequences following diagnostic labelling. Further research is required to test the external validity and acceptability of the framework for individuals and their family/caregiver, healthcare professionals, and community

"They too easily believe what they hear" The Victorian Insane Asylum, Accountability and the Problem of Perception, 1845-1890.

In 1880 the medical profession extensively debated what it believed to be the causes of the public's perception of the insane asylum. The conclusions they came to suggested that the public had fatally misunderstood the nature of asylumdom, accountability, and the complexities of managing lunacy. Elements of the medical profession were quick to blame the failings in the legal provision for madness, for this problem of perception, exonerating themselves in the process. By charting the development of the asylum throughout the latter half of the 1800s as a legal entity, the ways in which the framework was applied on a daily basis by the medical profession will enable this thesis to compare their perception of themselves against that which the public held. Furthermore, it will question whether the problem of perception was a construction of the medical profession, a result of their personal pride and ambition, or whether the public truly feared the stories of abuses and wrongful confinement which littered papers and fiction throughout the period

Strategies Employed by Community-Based Service Providers to Address HIV-Associated Neurocognitive Challenges: A Qualitative Study

Background: HIV-associated neurocognitive disorders and other causes of neurocognitive challenges experienced by people living with HIV (PLWH) persist as public health concerns in developed countries. Consequently, PLWH who experience neurocognitive challenges increasingly require social support and mental health services from community-based providers in the HIV sector. Methods: Thirty-three providers from 22 AIDS service organizations across Ontario, Canada, were interviewed to determine the strategies they used to support PLWH experiencing neurocognitive difficulties. Thematic analysis was conducted to determine key themes from the interview data. Results: Three types of strategies were identified: (a) intrapersonal, (b) interpersonal, and (c) organizational. Intrapersonal strategies involved learning and staying informed about causes of neurocognitive challenges. Interpersonal strategies included providing practical assistance, information, counseling, and/or referrals to PLWH. Organizational strategies included creating dedicated support groups for PLWH experiencing neurocognitive challenges, partnering with other organizations with services not available within their own organization, and advocating for greater access to services with expertise and experience working with PLWH. Conclusion: Through concerted efforts in the future, it is likely that empirically investigating, developing, and customizing these strategies specifically to address HIV-associated neurocognitive challenges will yield improved social support and mental health outcomes for PLWH